The intriguing tale of an iatrogenic perforation

Abstract

INTRODUCTION: Iatrogenic perforations are one of the most exasperating complications of root canal treatment. The prognosis of the root with iatrogenic perforation depends on the location and the procedures undertaken to manage the problem. This case report gives an account of a lateral perforation on a canine tooth and the management strategy under the circumstances. It also gives an overview of some of possible approaches to prevent iatrogenic perforations. METHODS: A right maxillary canine which had an iatrogenic perforation was carefully re-treated and the defect in the bone was exposed using a full thickness mucoperiosteal flap and packed with bone graft material A clinical re-evaluation was done at the end of 3 months. RESULTS: After 3 months the tooth was asymptomatic. There was no tenderness on palpation and on percussion. CONCLUSION: A thorough knowledge of the anatomy of the tooth, combined with the use of appropriate techniques can help in reducing the complications that may occur during endodontic therapy. However, if a problem does occur, a scrupulous management would help in salvaging the involved tooth.